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Syndrome of idiopathic chronic urticaria and angioedema with thyroid autoimmunity: A study of 90 patients

Identifieur interne : 001408 ( Istex/Corpus ); précédent : 001407; suivant : 001409

Syndrome of idiopathic chronic urticaria and angioedema with thyroid autoimmunity: A study of 90 patients

Auteurs : A. Leznoff ; G. L. Sussman

Source :

RBID : ISTEX:512F618B35734CE231FAEBFB23BE1DE84194ED03

Abstract

From a pool of 624 patients with idiopathic chronic urticaria and angioedema, 90 patients had evidence of associated thyroid autoimmunity (TA). Since the number expected by chance alone is 37, given that <6% of normal subjects have TA, the association is significant (p < 0.01; chi-square test). Age and sex distribution was typical of patients with TA. Clinically, most patients suffered relentless and severe urticaria and/or angioedema. With the exception of thyroid function and thyroid antibody tests, other laboratory tests were not rewarding. In most cases, treatment with 1 thyroxine did not improve urticaria or angioedema, but a few patients demonstrated a dramatic response. Awareness of the association resulted in the identification of previously undiagnosed thyroid disease. The authors hypothesize that a subset of idiopathic chronic urticaria and angioedema may be an autoimmune disease.

Url:
DOI: 10.1016/0091-6749(89)90180-2

Links to Exploration step

ISTEX:512F618B35734CE231FAEBFB23BE1DE84194ED03

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